Integrated Service Delivery Model co-design joint winner of excellence award – December 2025
The Organisational Change Unit were named joint winners in the Improving Patient/Service User Experience category for the co-design of the Integrated Service Delivery (ISD) Model at the Health Service Excellence Awards ceremony at Farmleigh.
Minister for Health Jennifer Carroll MacNeill presented the award to the OCU team and our incredible patient and service user representatives – Christine Fenton, Kara Madden, Donal Conway, and Lisa Fenwick
Their insights and input were invaluable in co-designing the ISD Model, ensuring that patient and service user voices were at the heart of every decision.
“We were learning from each other and we were then looking at it, analysing it, discussing it, arguing over it. You name it, we did it, in front of a messy table, but we got it right in the end.”
These words from Kara give an insight into the spirit of collaboration that shaped the ISD Model.
Together with patient and service user representatives, the OCU created a model that truly reflects the needs of everyone.
Our ISD co-design patient/service user partner Donal summed it up perfectly: “When a team is working off the same hymn sheet and captained by a good organisation like the HSE, the hard work, graft and grind gets its rewards.”
The award is a testament to collaboration, dedication, and the power of listening to those who matter most.
Diverse teams help co-design suite of new integration resources - November 2025
Over recent months, HSE Organisation Development & Design (OD&D) has collaborated with system integrators to develop the a Model for Integration, a practical, evidence-informed framework designed to support teams in delivering more integrated, person-centred care. Adapted from the SCIE Logic Model for Integrated Care (UK), it has been tailored specifically for the Irish health and social care context.
Following a call-out through our social media, eight diverse teams from across the country volunteered to test the model and its supporting resources. These include templates, prompt sheets, and signposting to tools from the Health Services Change Guide, along with an introductory webinar and instructional videos.
The ‘test and refine’ programme offers a unique opportunity for participants to co-design a national resource. Over eight weeks, participating teams engage in shared learning sessions facilitated by OD&D, creating space to exchange insights and learn from each other’s experiences.
This initiative marks the first in a suite of team-based resources to support integrated care. Once refined, the Model for Integration will be rolled out nationally in 2026, with additional resources currently in development.
To find out more about the full range of OD&D supports and resources, see https://linktr.ee/hsechangeguide QR code as well as link.
Delivering Change Together: Celebrating integrated care and innovation – November 2025
Two years of hard work and innovation came to life at the recent Delivering Change Together - CHN Programme shared learning webinar, a milestone event showcasing progress, collaboration, and integrated ways of working across Louth and Meath.
The webinar spotlighted four standout service improvement projects led by multidisciplinary teams from Community Healthcare Networks (CHNs), supported by developmental partners Organisation Development & Design, Leadership Learning & Talent Management (LLTM), PMO, and Digital Health:
- Developing a MDT triage process to streamline multidisciplinary referrals.
- Enhancing GP–CHN communication through a digital platform (Padlet).
- Creating a guidance document for group work to support service delivery.
- Launching a video initiation project to provide digital information tools for service users.
With 170 participants representing disciplines from administration, dietetics, nursing, occupational therapy, physiotherapy, podiatry, social work, speech & language therapy, and GP leads, the programme demonstrated the power of collaboration in driving integrated healthcare.
Reflecting on the success of the partnership, Sinéad Molloy, Organisation Development Officer, said, “Supporting change as one team takes intentional collaboration. It’s not just about working alongside each other, it’s about aligning around a shared purpose and building trust. When we create a space of shared purpose and psychological safety, we don’t just help teams deliver integrated care - we show what integrated working really looks like.”
Cecily Roche, Regional HSCP Integration Development Lead, introduced her new role, which will provide strategic clinical leadership across 26 disciplines, advancing integrated working and career progression through initiatives such as Advanced Practice.
In the panel discussion, Carol McCann, Digital Health, reminded attendees that while technology is transforming health services, “Technology is the last part of the puzzle. Solving problems with the right people in the room is the priority.”
Commissioned by CHN managers in Louth and Meath, the programme recognises that delivering integrated care requires a big shift in mindset and practice - embracing multidisciplinary teams and new ways of working.
Evaluation of an Engagement Process in Health Regions Co-design Workshops
At the recent HSE Patient & Public Partnership Conference hosted by @hsepsue, the Patient/Service User partners collaborating with the HSE Health Region Programme team showcased their poster presentation titled: Evaluation of an Engagement Process in Health Regions Co-design Workshops.
View the poster here
This was co-authored by: Patient / Service user partners: Anne Lawlor, Bernie O’Reilly, Christine Fenton, Kara Madden, Lisa Fenwick HSE partners: Angela Ryan, Eileen O’Toole, Juanita Guidera, Marie O’Haire, Nuala Scannell Background to the case example Our Health Service Executive (HSE) is establishing Health Regions as part of the implementation of Sláintecare.
The Integrated Service Delivery (ISD) model aims to bring community based and hospital based services together to deliver joined up, integrated care closer to, or in, the home, in partnership with people and communities, throughout their health and social care journey. The expertise of people with experience of using services is vital in change processes.
To explore the Integrated Service Delivery model proposals Patients/Service Users were invited to join two co-design workshops facilitated by the Organisational Change Unit and National Quality and Patient Safety Directorate. #HSEPPP HSE Patient and Service User Engagement (linkedin)
Ireland shares health system reform insights on international stage 21 – 23 May 2025
Ireland’s health service featured prominently at the International Forum on Quality and Safety in Healthcare in Utrecht this May. Representing the Organisational Change Unit, Marie O’Haire, General Manager, Organisation Development and Design, and Nuala Scannell, General Manager, Health Regions Programme Team, delivered an engaging session highlighting Ireland’s progress in health system reform.
Their presentation demonstrated how integrated care delivery is being enabled through a combined application of design thinking and change methodologies. Drawing from the Health Services People’s Needs Defining Change Guide, design principles from the Government of Ireland and aligned with the IFIC Principles of Integrated Care, they shared insights on key milestones, lessons learned on delivering large-scale change and the importance of the voice of patients and service users through a reflective video.
Their session formed part of a full-day workshop led by renowned change experts Helen Bevan and Göran Henriks, exploring the conditions required for deep, systemic transformation in healthcare. The focus was on moving beyond incremental improvements through collective inquiry, shared purpose, and distributed leadership.
Speaking with Göran Henriks, Senior Fellow at the Institute for Healthcare Improvement, Marie captured a critical insight: “Change starts by trying to understand what others understand. Ask questions, be curious, and believe people want good things.”
Professor Jody Hoffer Gittell also introduced Relational Coordination, a research-backed framework for improving interprofessional collaboration and workflow outcomes.
At the All-Ireland Huddle at the BMJ conference, colleagues across the Irish health system came together to share experiences and strengthen connections.
The health and social care system is moving forward with the Health Regions transformation, as part of the Sláintecare vision. The next big step is putting the Integrated Service Delivery Model into action - this means better joined-up care for patients and service users. For the latest information on the Health Regions, visit https://www.hse.ie/eng/about/who/health-regions/. For the latest information on your health region, visit https://about.hse.ie/health-regions/
Throughout this process, the Organisation Change Unit works in partnership with key stakeholders and leaders. All partners remain committed to supporting change across all levels. To find out more and to access our resources, see https://linktr.ee/hsechangeguide
Health Regions Webinar Series 2025, Webinar 4 “Creating readiness for new ways of working and integration” held 19 November 2025
The fourth webinar in the series, 'Creating readiness for new ways of working and integration', took place on Wednesday 19 November 2025.
The speakers at the webinar gave insights into:
- Creating readiness for new ways of working across teams and services in the context of integrated care
- What matters most to patients and service users on integrated care
- Implementing new ways of working to deliver integrated service from a leadership perspective
- The Model for Integration as a practical tool for teams to design services
- The range of practical resources and supports available to staff for planning and delivering change
Watch back the health regions webinar from Wednesday 19 November 2025 (video)
View presentation slides from the health regions webinar on Wednesday 19 November (PDF, 20.59 MB, 68 pages)
Health Regions Webinar Series 2024, Webinar 3 “Supporting Teams for Integrated Working” held 12 December 2024
The third webinar took place on Thursday 12 December.
The speakers at the webinar:
- provided an update on health regions implementation
- focused on leadership competencies that support delivery of integrated care
- shared relevant resources and first-hand experiences of using these resources
Watch back the health regions webinar from Thursday 12 December on YouTube (video)
Health Regions webinar Slides (PDF, size 4 MB, 36 pages)
Health Regions Webinar Series 2024, Webinar 2 “Balancing Stability with Change” Creating Conditions held 26 September 2024
The second webinar took place on Thursday 26 September. The purpose of this webinar was to:
- provide an update on health regions implementation
- focus on managing change in the HSE as we move towards more integrated care
- share relevant resources and first-hand experiences of implementing change
Watch back the health regions webinar from Thursday 26 September (video)
Health Regions webinar slides (PDF, 6.2 MB, 39 pages)
Health Regions Programme, with a focus on Population Health - Webinar held 27 June 2024
Health Regions Programme, with a focus on Population Health webinar (youtube.com)
The objective of the webinar was to provide an update on the implementation of Health Regions and build an understanding of Population Based Planning. This included a description of Regional Population Profiles which assist us to understand the needs of the region’s population and local communities. The resources available to all staff to support local Population Based Planning were also outlined in the Webinar.
HSE Health Regions Programme Team win “Best Poster” at ICIC Conference April 2024
We are delighted to announce that the HSE Health Regions Programme Team including Nuala Scannell, Angela Ryan and Lisa McDaid was awarded “Best Poster” at the 24th International Conference on Integrated Care (ICIC24) in Belfast, April 2024. See the poster here: Health Regions Prog Team Conference Poster (28.562 x 50.8 cm) 29.02.2024 (hseland.ie)
Health Matters Summer 2024
- Have a look at pages 26/27 to find out more about the award winning poster.
- Also see page 78 where Delivering Change Together event in Sligo, February 2024 is profiled.
Organisation Development and Design - Update on Service Offerings 2023/2024
As core members of the Health Regions Programme Team, the National OD&D service continues to support change and innovation throughout the system. This presentation outlines our key commitments and also profiles service offerings. There are also practical examples of our OD work in practice with a variety of national programmes. We look forward to continuing to progress Health Region reforms through context specific OD interventions focused on service design and integration to meet future service needs.
Organisation Development Design (PDF, size 5 MB, 24 pages)
Resource Guide for Health Service Leaders & Educators
We have developed a resource guide that outlines all of our service offerings aligned to the Health Services Change Guide. It signposts key resources in one document and will assist you to identify what might work best for your team or service.
Health Services Change Guide Resource Guide Version VI - February 2025 (PDF, size 3.8 MB, 21 pages)
The West/ North West celebrates Delivering Change Together - February 2024
Delivering Change Together is an experiential change programme that brought colleagues together in Communities of Practice (CoPs) groups. The CoP model encourages colleagues to work collaboratively in CoPs to solve common problems when designing, defining and delivering change.
The programme was the culmination of significant partnerships at local level and national support services, integrating to support the delivery of the Health Regions. This pilot programme was celebrated by a learning event on 22 February 2024 in Sligo, when health and social care colleagues including senior leaders came together for this first-of-its kind event in the West/North West.
For more information on the day’s event: The West/North West Celebrates Delivering Change Together (PDF, size 592 KB, 2 pages) and you can also click here for more information on the overall programme: Launch of the Delivering Change Together - Experiential Change Programme (PDF, size 503.5 KB, 1 page)
“Creating Conditions for Change & Integration” Launched May 2023
Organisation Development, HSE Change and Innovation has recently launched Creating Conditions for Change & Integration. This resource has been designed to provide practical help and guidance to individuals and teams to increase readiness for change and support integrated working enabling the implementation of Health Regions across the country. It is aligned to the Health Services Change Guide programme of work which is focused on building change capacity and capability across the system.
Creating Conditions for Change & Integration - A New Resource has Launched (YouTube)
Further reading is available on Creating Conditions for Change & Integration with access to video tutorials: Creating Conditions for Change and Integration (PDF, 529 KB, 2 pages).
